| NPI | 1619411527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: CA 78328) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: IN 26026221A) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2019-08-02 |